A Toronto Patient’s Experience With Exercise Programs That Foster Strength and Hope

A 52-year-old resident of Toronto, Ontario, learned she had stage III breast cancer in March 2018. With no family history of the disease, the diagnosis felt overwhelming. Doctors recommended a full mastectomy of her right breast and removal of multiple lymph nodes under her right arm. Facing imminent surgery, she was offered an opportunity to join a pilot clinical study in “prehabilitation”, which would include a structured exercise program before her procedure.

During the two-week prehab period, researchers measured her grip strength and cardio fitness, then provided her with resistance band exercises and simple cardio routines such as running up steps at a local park. Logging each session on a tracking sheet proved highly motivating and improved both her strength and endurance. This brief but focused approach also helped her remain positive and distracted from the upcoming surgery.

Following the mastectomy, she underwent eight cycles of chemotherapy from May until August, followed by 25 radiation treatments through October. Daily letrozole was added to her regimen for ongoing hormonal therapy. Although she faced significant side effects, including pain, fatigue, and lymphedema, her medical team referred her to an eight-week rehabilitation program. In a group setting with 10 participants, she received guidance on new strength and cardio exercises, nutrition, mental health, and brain health. Physiotherapy and massage sessions aided in reducing pain and managing lymphedema.

The blend of prehab and rehab proved invaluable. Her physical improvements bolstered her mental outlook, and witnessing measurable progress in strength and stamina helped sustain a hopeful attitude. Today, there is no evidence of cancer in her body. She has returned to work part-time, balancing her daily exercise routine, social engagements, and quality time with her husband. Each small step in fitness has led to a big impact on her overall recovery, serving as a reminder that prehabilitation and rehabilitation can transform the cancer experience.